title: [Management of chronic non-terminal renal failure in childhood. Estimation of mean annual cost].
abstract: We have calculated the mean annual cost (MAC) referred to 1,988 pesetas derived from the treatment and surveillance of 15 patients diagnosed of non terminal chronic renal failure (NT-CRF). The patients were aged between 1 month and 12 years at the moment of diagnosis and they were followed-up for five years at least. We have differentiated among costs from hospitalization, pharmacological treatment and outpatient control which were respectively 455,400, 47,798 and 57,917 pesetas/patient year. The costs from hospitalization decreased progressively every year after diagnosis being of 21,211 pesetas/patient year at the 5th year from diagnosis. The 30.1% of pharmacological treatment costs were due to the use of alkalines, 23.4% to phosphorus quelants (calcic carbonate mainly) and 27.3% to the active forms of vitamin D3. The outpatient surveillance costs corresponded 24,000 pesetas/year to staff expenses, 27,492 pesetas/year to laboratory work-up and 6,424 pesetas/year to radiological examination. We conclude that the total MAC for children with NT-CRF eas 561,115 pesetas/patient being the hospitalizations costs the most important concept (81.2%), followed by ambulatory care (10.3% and drug treatment (8.5%).
authors.affiliation: Sección de Nefrología Pediátrica, Hospital Universitario Nuestra Señora de Covadonga, Facultad de Medicina, Oviedo, Asturias.
authors.forename: G
authors.initials: G
authors.lastname: Orejas Rodríguez-Arango
authors.forename: S
authors.initials: S
authors.lastname: Málaga Guerrero
authors.forename: F
authors.initials: F
authors.lastname: Santos Rodríguez
authors.forename: I
authors.initials: I
authors.lastname: Martínez Gonzáles
authors.forename: L M
authors.initials: LM
authors.lastname: Rodríguez Fernández
authors.forename: C
authors.initials: C
authors.lastname: Rey Galán
mesh_terms: D000553:Ambulatory Care / Q000191:economics; D002648:Child; D002675:Child, Preschool; D003365:Costs and Cost Analysis; D006760:Hospitalization / Q000191:economics; D006801:Humans; D007223:Infant; D007676:Kidney Failure, Chronic / Q000191:economics / Q000628:therapy*; D013030:Spain
vernacular_title: Manejo del niño en insuficiencia renal crónica no terminal. Una aproximación al coste medio anual.